Clarence Edward Adams Jr., NP
Individual provider Active NPI Adult Health Nurse Practitioner · Golden, CO
NPI 1609278290 · NPPES record last updated Dec 22, 2022
Key facts
- NPI
- 1609278290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- APN.0993548-NP (CO)
- Practice address
- 5920 McIntyre St
Golden, CO 80403-7445 - Phone
- (720) 434-4876
- Fax
- (303) 225-4246
- NPI assigned
- Sep 25, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Colorado Springs Nephrology
Compass Colorado Healthcare Systems Inc
Practice addresses (Care Compare)
1725 E Boulder St
Suite 105
Colorado Springs, CO 80909-5740
Phone (719) 638-8020
7353 Sisters GRV
Colorado Springs, CO 80923-2615
Phone (719) 444-8484
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171130000589 | CO | Practitioner - Nurse Practitioner | 4587921523 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0993548-NP | CO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Healthcare LLC | Current |
Accepting new patients | |
| Compass Colorado Healthcare Systems, Inc. | Current |
Accepting new patients | |
| Colorado Springs Nephrology | Current |
Accepting new patients | |
| Compass Colorado Healthcare Systems, Inc. | Current | Accepting new patients | |
| Compass Colorado Healthcare Systems, Inc | Current |
Accepting new patients | |
| Forte Health and Wellness Inc | Current | Accepting new patients | |
| Foothills Vaccine Clinic LLC | Past |
Accepting new patients | |
| Banyan Castle Rock, LLC | Past | Accepting new patients |
Locations
656 Dillon Way
Aurora, CO 80011
Phone (303) 344-0636
1055 S Perry St
Castle Rock, CO 80104
Phone (303) 381-8340
7353 Sisters Grv
Colorado Springs, CO 80923
Phone (719) 355-1001
1725 E Boulder St
Ste 105
Colorado Springs, CO 80909
Phone (586) 247-4300
8181 E Tufts Ave
Ste 560
Denver, CO 80237
Phone (720) 669-3480
5822 S Lowell Way
Littleton, CO 80123
Phone (303) 798-2497
2679 W Main St
Littleton, CO 80120
2679 W Main St
Ste 300781
Littleton, CO 80120
Phone (720) 269-9425
2679 W Main St
Ste 300
Littleton, CO 80120
Phone (303) 720-9369
2679 W Main St
Ste 300736
Littleton, CO 80120
9218 Kimmer Dr
Ste 200
Lone Tree, CO 80124
Phone (303) 683-5620
10160 W 50th Ave
Unit 4
Wheat Ridge, CO 80033
Phone (303) 456-4882
1065 NE 125th St
Ste 300
North Miami, FL 33161
Phone (305) 891-0050
45640 Schoenherr Rd
Ste B
Utica, MI 48315
Phone (586) 247-4300
Interoperability endpoints
- clarence.e.adams@direct.davitaphysiciansolutions.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APN.0993548-NP | CO | |
| Adult Health Nurse Practitioner | 363LA2200X | APN.0993548-NP | CO | Yes |
Addresses
Primary practice location
5920 McIntyre St
Golden, CO 80403-7445
Mailing address
5920 McIntyre St
Golden, CO 80403-7445
Phone (720) 434-4876
Other practice location 1
9218 Kimmer Dr Ste 200
Lone Tree, CO 80124-6733
Phone (303) 683-5620
Other providers in Golden, CO
- Accelerated Medical Services Inc
- Accent Dermatology and Laser Institute, PLLC
- Accessible-Tech LLC
- Active Belief
- Cayle Adams
- Lindsey Adams
- Mark Hawkins Adams
- Nathan Lyle Adams
- Adjusted Life Chiropractic PLLC
- Affiliated Therapists, Inc
All providers in Golden, CO · Adult Health Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.